Individual provider Active NPI

Evan Moeai

  • Physical Therapist
  • Saratoga Springs, UT
National Provider Identifier
1679210314
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7898320-2401 Issued in UT
Practice address
62 E Thrive Dr
Saratoga Springs, UT 84045-5558
Phone
(801) 766-4244
NPI assigned
May 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7898320-2401 UT Primary

Addresses

Primary practice location

62 E Thrive Dr
Saratoga Springs, UT 84045-5558

Mailing address

62 E Thrive Dr
Saratoga Springs, UT 84045-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628003073 UT Practitioner - Physical Therapist in Private Practice 6507245198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7898320-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Creek Physical Therapy & Wellness PLLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Jensen Therapy Associates, Inc. Physical Therapist PastSince May 16, 2022 Accepting new patients

Locations

3300 N Running Creek Way
Ste B150
Lehi, UT 84043
Phone (801) 766-4244

564 W 700 S
Pleasant Grove, UT 84062
Phone 8017664244 ext. 401

62 E Thrive Dr
Ste 210
Saratoga Springs, UT 84045
Phone 8017664244 ext. 501

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1679210314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455558",
            "telephone_number": "801-766-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEAI",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "7898320-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.